EPISODE · Jul 27, 2022 · 37 MIN
TdC 147: Anti-inflamatórios - 7 armadilhas!
from Ta de Clinicagem · host tadeclinicagem
1º Encontro TdC - Simpósio Anual de Atualização em Clínica Médica Um dia inteiro de Clínica Médica, com temas cuidadosamente selecionados para responder à pergunta que mais importa: o que muda minha prática?Se você é residente, médico recém-formado, especialista ou estudante de Medicina e gosta da forma como o TdC discute medicina baseada em evidências, esperamos você em São Paulo no dia 22 de agosto.Garanta sua vaga através do link: https://www.tadeclinicagem.com.br/eventostdc/1-encontro-tdc/🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨Pedro e Fred discutem sobre os principais efeitos colaterais dos anti-inflamatórios (renal, cardíaco e gastrintestinal) e sobre o uso tópico dos anti-inflamatórios.Veja o vídeo do Resumo Visual de 8 minutos com os principais destaques do episódio de AINES: https://youtu.be/e7Yz6oG6KsM Referências:1. Derry, Sheena, et al. "Topical NSAIDs for chronic musculoskeletal pain in adults." Cochrane Database of Systematic Reviews 4 (2016).2. Derry, Sheena, et al. "Topical NSAIDs for acute musculoskeletal pain in adults." Cochrane database of systematic reviews 6 (2015).3. Baker, Megan, and Mark A. Perazella. "NSAIDs in CKD: are they safe?." American Journal of Kidney Diseases 76.4 (2020): 546-557.4. Sharma, Leena. "Osteoarthritis of the knee." New England Journal of Medicine 384.1 (2021): 51-59.5. Klinge, Stephen A., and Gregory A. Sawyer. "Effectiveness and safety of topical versus oral nonsteroidal anti-inflammatory drugs: a comprehensive review." The Physician and sportsmedicine 41.2 (2013): 64-74.6. Drożdżal, Sylwester, et al. "Kidney damage from nonsteroidal anti‐inflammatory drugs—Myth or truth? Review of selected literature." Pharmacology Research & Perspectives 9.4 (2021): e00817.7. Nissen, Steven E., et al. "Cardiovascular safety of celecoxib, naproxen, or ibuprofen for arthritis." New England Journal of Medicine 375 (2016): 2519-2529.8. Laine, L., et al. "Risk factors for NSAID‐associated upper GI clinical events in a long‐term prospective study of 34 701 arthritis patients." Alimentary pharmacology & therapeutics 32.10 (2010): 1240-1248. 9. Masclee, Gwen MC, et al. "Risk of upper gastrointestinal bleeding from different drug combinations." Gastroenterology 147.4 (2014): 784-792.10. Henry, David, et al. "Variability in risk of gastrointestinal complications with individual non-steroidal anti-inflammatory drugs: results of a collaborative meta-analysis." Bmj 312.7046 (1996): 1563-1566.11. Kelly, Judith P., et al. "Risk of aspirin-associated major upper-gastrointestinal bleeding with enteric-coated or buffered product." The Lancet 348.9039 (1996): 1413-1416.12. Rodríguez, Luis A. García, and Laura Barreales Tolosa. "Risk of upper gastrointestinal complications among users of traditional NSAIDs and COXIBs in the general population." Gastroenterology 132.2 (2007): 498-506.13. Lanza, Frank L., et al. "Guidelines for prevention of NSAID-related ulcer complications." Official journal of the American College of Gastroenterology| ACG 104.3 (2009): 728-738.14. Desai, Jay C., et al. "Primary prevention of adverse gastroduodenal effects from short-term use of non-steroidal anti-inflammatory drugs by omeprazole 20 mg in healthy subjects: a randomized, double-blind, placebo-controlled study." Digestive diseases and sciences 53.8 (2008): 2059-2065.15. Takeuchi, Ken, et al. "Prevalence and mechanism of nonsteroidal anti-inflammatory drug–induced clinical relapse in patients with inflammatory bowel disease." Clinical Gastroenterology and Hepatology 4.2 (2006): 196-202.16. Chey, William D., et al. "ACG clinical guideline: treatment of Helicobacter pylori infection." Official journal of the American College of Gastroenterology| ACG 112.2 (2017): 212-239.
What this episode covers
🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨 🔴 Junte-se aos mais de 1.000 assinantes. Assine o Guia, ganhe tempo e atualize-se sem esforço. 🟠 Um serviço de revisão e atualização continuados em clínica médica. A informação que você precisa, do jeito que você prefere. 📚 Confira agora mesmo a edição aberta do Guia TdC sobre a Nova Diretriz de Hiperglicemia no Paciente Internado: https://www.tadeclinicagem.com.br/guia/edition/revisao-2 Veja o vídeo do Resumo Visual de 8 minutos com os principais destaques do episódio de AINES: https://youtu.be/e7Yz6oG6KsM Pedro e Fred discutem sobre os principais efeitos colaterais dos anti-inflamatórios (renal, cardíaco e gastrintestinal) e sobre o uso tópico dos anti-inflamatórios. Referências: Derry, Sheena, et al. "Topical NSAIDs for chronic musculoskeletal pain in adults." Cochrane Database of Systematic Reviews 4 (2016). Derry, Sheena, et al. "Topical NSAIDs for acute musculoskeletal pain in adults." Cochrane database of systematic reviews 6 (2015). Baker, Megan, and Mark A. Perazella. "NSAIDs in CKD: are they safe?." American Journal of Kidney Diseases 76.4 (2020): 546-557. Sharma, Leena. "Osteoarthritis of the knee." New England Journal of Medicine 384.1 (2021): 51-59. Klinge, Stephen A., and Gregory A. Sawyer. "Effectiveness and safety of topical versus oral nonsteroidal anti-inflammatory drugs: a comprehensive review." The Physician and sportsmedicine 41.2 (2013): 64-74. Drożdżal, Sylwester, et al. "Kidney damage from nonsteroidal anti‐inflammatory drugs—Myth or truth? Review of selected literature." Pharmacology Research & Perspectives 9.4 (2021): e00817. Nissen, Steven E., et al. "Cardiovascular safety of celecoxib, naproxen, or ibuprofen for arthritis." New England Journal of Medicine 375 (2016): 2519-2529. Laine, L., et al. "Risk factors for NSAID‐associated upper GI clinical events in a long‐term prospective study of 34 701 arthritis patients." Alimentary pharmacology & therapeutics 32.10 (2010): 1240-1248. Masclee, Gwen MC, et al. "Risk of upper gastrointestinal bleeding from different drug combinations." Gastroenterology 147.4 (2014): 784-792. Henry, David, et al. "Variability in risk of gastrointestinal complications with individual non-steroidal anti-inflammatory drugs: results of a collaborative meta-analysis." Bmj 312.7046 (1996): 1563-1566. Kelly, Judith P., et al. "Risk of aspirin-associated major upper-gastrointestinal bleeding with enteric-coated or buffered product." The Lancet 348.9039 (1996): 1413-1416. Rodríguez, Luis A. García, and Laura Barreales Tolosa. "Risk of upper gastrointestinal complications among users of traditional NSAIDs and COXIBs in the general population." Gastroenterology 132.2 (2007): 498-506. Lanza, Frank L., et al. "Guidelines for prevention of NSAID-related ulcer complications." Official journal of the American College of Gastroenterology| ACG 104.3 (2009): 728-738. Desai, Jay C., et al. "Primary prevention of adverse gastroduodenal effects from short-term use of non-steroidal anti-inflammatory drugs by omeprazole 20 mg in healthy subjects: a randomized, double-blind, placebo-controlled study." Digestive diseases and sciences 53.8 (2008): 2059-2065. Takeuchi, Ken, et al. "Prevalence and mechanism of nonsteroidal anti-inflammatory drug–induced clinical relapse in patients with inflammatory bowel disease." Clinical Gastroenterology and Hepatology 4.2 (2006): 196-202. Chey, William D., et al. "ACG clinical guideline: treatment of Helicobacter pylori infection." Official journal of the American College of Gastroenterology| ACG 112.2 (2017): 212-239.
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TdC 147: Anti-inflamatórios - 7 armadilhas!
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